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General NPI Number Information
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NPI Number | 1811736275
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Entity Type | Organization
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Legal Business Name | THE GUARDIAN GROUP, LLC
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Dates
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Enumeration Date | 05/23/2024
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Last Update Date | 05/23/2024
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Provider Practice Location Address
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Address Line | 14623 HAWTHORNE BLVD STE 400
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City | LAWNDALE
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State | CA
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Zip | 90260-1581
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Country | US
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Telephone | 800-411-1006
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Fax | 310-356-7910
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Provider Business Mailing Address
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Address Line | 95 3RD ST FL 2
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City | SAN FRANCISCO
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State | CA
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Zip | 94103-3103
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Country | US
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Telephone | 888-240-2019
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Fax | 310-356-7910
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Authorized Official
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Title or Position | DIRECTOR
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Name | MICHAEL SWEENEY
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Credential |
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Telephone | 888-240-2019
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 202C00000X
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Taxonomy Name | Independent Medical Examiner Physician
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License Number |
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License Number State |
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